This form can be filled by participants of 18 years and above only. In case of minor, parents or guardians are supposed to apply on their behalf.
Your Complete Name
Your Mobile No
Your parent/spouse/guardian Mobile No
Your Email ID
Have you or anybody from your family attended any program with Kshitij?
In case there is any change in you residential address, school, college or company details, then please choose NO.
I have attended
My family member has attended
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